RU2007129C1 - Method for treating urethra strictures - Google Patents
Method for treating urethra strictures Download PDFInfo
- Publication number
- RU2007129C1 RU2007129C1 SU4938397A RU2007129C1 RU 2007129 C1 RU2007129 C1 RU 2007129C1 SU 4938397 A SU4938397 A SU 4938397A RU 2007129 C1 RU2007129 C1 RU 2007129C1
- Authority
- RU
- Russia
- Prior art keywords
- urethra
- tube
- strictures
- bypassing
- treating
- Prior art date
Links
- 210000003708 urethra Anatomy 0.000 title claims abstract description 19
- 238000000034 method Methods 0.000 title claims abstract description 7
- 208000031481 Pathologic Constriction Diseases 0.000 title claims abstract description 6
- 230000003872 anastomosis Effects 0.000 claims abstract description 5
- 230000006835 compression Effects 0.000 claims description 6
- 238000007906 compression Methods 0.000 claims description 6
- 239000003814 drug Substances 0.000 abstract description 2
- 239000000126 substance Substances 0.000 abstract 1
- 239000004020 conductor Substances 0.000 description 2
- 201000001988 urethral stricture Diseases 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
Landscapes
- Surgical Instruments (AREA)
Abstract
Description
Изобретение относится к медицине, в частности к хирургическим способам лечения стриктур уретры. The invention relates to medicine, in particular to surgical methods for treating urethral strictures.
В качестве прототипа выбран способ лечения стриктур уретры, путем соединения концов уретры с помощью компрессирующих элементов, сопоставленных по нити-проводнику. As a prototype, a method for treating urethral strictures by connecting the ends of the urethra using compression elements matched along the conductor thread was selected.
Целью изобретения является уменьшение травматичности операций. The aim of the invention is to reduce the morbidity of operations.
Указанная цель достигается тем, что в дистальный участок уретры вводят жесткую трубку, эвагинируют ею стенку уретры, обходя стриктуру, и сопоставляют с пальцем, введенным в проксимальный участок уретры, а затем проводят через трубку упругую струну и прокалывают ею стенки уретры. Вслед за струной по уретре проводят нить, при помощи которой к месту соединения перемещают компрессионные элементы, формируя обходной анастомоз. This goal is achieved by the fact that a rigid tube is inserted into the distal section of the urethra, the urethra wall is evaginated by it, bypassing the stricture, and compared with a finger inserted into the proximal section of the urethra, and then an elastic string is passed through the tube and the urethra walls are pierced with it. Following the string, a thread is passed through the urethra, with the help of which the compression elements are moved to the junction, forming a bypass anastomosis.
Анастомоз накладывается между мобильными и эластичными стенками уретры. Условием формирования анастомоза является отсутствие значительного натяжения при сопоставлении пальца и трубки. Anastomosis is superimposed between the mobile and elastic walls of the urethra. The condition for the formation of the anastomosis is the absence of significant tension when comparing the finger and the tube.
Способ может быть реализован, например, при помощи механического или магнитного устройства, в которых компрессионные элементы сопоставляются по нити-проводнику. Дистальный компрессионный элемент фиксируют к нити и подводят к месту соединения через наружное отверстие уретры, путем тракции за конец нити, выходящей из цистостомы, а проксимальный - низводят по нити при помощи трубки. После сопоставления элементов трубку фиксируют относительно нити внешним зажимом. Удаление компрессионных элементов производят на 10-14-е сутки. The method can be implemented, for example, using a mechanical or magnetic device in which the compression elements are matched along a conductor thread. The distal compression element is fixed to the suture and led to the junction through the external opening of the urethra, by traction at the end of the suture emerging from the cystostomy, and the proximal one is lowered down the suture using a tube. After matching the elements, the tube is fixed relative to the thread with an external clamp. Removal of the compression elements is carried out on the 10-14th day.
Способ использован в лечении 9 детей с посттравматическими стриктурами задней уретры, протяженностью 0,5-1,5 см. Осложнений не отмечалось. В семи случаях удалось восстановить самостоятельное мочеиспускание, избежав сложных и травматичных реконструктивных операций. (56) Вестник хирургии. 1989, N 4, с. 61-66. The method was used in the treatment of 9 children with post-traumatic strictures of the posterior urethra, with a length of 0.5-1.5 cm. No complications were noted. In seven cases, it was possible to restore self-urination, avoiding complex and traumatic reconstructive operations. (56) Herald of Surgery. 1989, N 4, p. 61-66.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU4938397 RU2007129C1 (en) | 1991-05-22 | 1991-05-22 | Method for treating urethra strictures |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU4938397 RU2007129C1 (en) | 1991-05-22 | 1991-05-22 | Method for treating urethra strictures |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| RU2007129C1 true RU2007129C1 (en) | 1994-02-15 |
Family
ID=21575631
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU4938397 RU2007129C1 (en) | 1991-05-22 | 1991-05-22 | Method for treating urethra strictures |
Country Status (1)
| Country | Link |
|---|---|
| RU (1) | RU2007129C1 (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2194537C2 (en) * | 2000-04-25 | 2002-12-20 | Пермская государственная медицинская академия | Conservative method for treating urethral strictures |
-
1991
- 1991-05-22 RU SU4938397 patent/RU2007129C1/en active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2194537C2 (en) * | 2000-04-25 | 2002-12-20 | Пермская государственная медицинская академия | Conservative method for treating urethral strictures |
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